Kerguelen Murcia Daniela, Tenreiro Andrea, Kohlnhofer Jennifer A, Wagner Celeste, Posleman Monetto Flavia
John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Department of Radiology, University of Texas Medical Branch, Galveston, TX, USA.
Radiol Case Rep. 2025 May 13;20(8):3719-3723. doi: 10.1016/j.radcr.2025.04.078. eCollection 2025 Aug.
Phyllodes tumor is a rare fibroepithelial breast mass that typically manifests as a painless, multinodular breast tumor. One characteristic feature of phyllodes tumors is that they tend to increase in size rapidly over time unlike fibroadenomas. On ultrasound, they typically appear as a hypoechoic solid mass that may contain cystic components. On mammography, they appear hyperdense. Definitive diagnosis requires biopsy, with histological findings of leaf-like architecture and stromal cellularity. This report presents a case of giant malignant phyllodes tumor in a 53-year-old female who underwent right mastectomy and provides an overview of its clinical presentation, diagnostic workup, radiologic imaging findings, and management.
叶状肿瘤是一种罕见的乳腺纤维上皮性肿块,通常表现为无痛性、多结节的乳腺肿瘤。叶状肿瘤的一个特征是,与纤维腺瘤不同,它们往往会随着时间的推移迅速增大。在超声检查中,它们通常表现为低回声实性肿块,可能含有囊性成分。在乳腺钼靶检查中,它们表现为高密度。明确诊断需要活检,组织学表现为叶状结构和间质细胞性。本报告介绍了一例53岁女性的巨大恶性叶状肿瘤病例,该患者接受了右乳房切除术,并概述了其临床表现、诊断检查、放射影像学表现及治疗。